The first case is presented of coexistance of an ectopic pregnancy and an adenomatoid tumor in the same fallopian tube. The ectopic pregnancy was diagnosed clinically, but the tumor was only detected microscopically as a result of extensive sampling of the salpingectomy specimen.
PIP: Review of the literature has not revealed another case of the coexistence of a tubal ectopic pregnancy and an adenomatoid tumor in the same fallopian tube. In this case report, a 37-year-old woman gave an obstetric history which included a normal live birth, a stillbirth at 24 weeks, and a first trimester spontaneous abortion. Examination 2 months after her last menstrual period revealed altered blood in the vagina, left abdominal tenderness, and a left adnexal mass. Tubal ectopic pregnancy was diagnosed. Laparoscopy showed intraabdominal hemorrhage. At laparotomy a swollen, hemorrhagic left tube was removed. A ruptured tubal ectopic pregnancy was confirmed histologically. Also a benign adenomatoid tumor, 6 mm in diameter, was found in the fibrovascular perisalpinx. The tumor may have been a factor in causing the ectopic pregnancy although chronic salpingitis was also present. Such small associated lesions may be easily overlooked.